Mrs Katlin P Shi, PAC in Jacksonville, FL - Medicare Physician Assistant

Mrs Katlin P Shi, PAC is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. Her current practice location is 1 Shircliff Way, St. Vincent's Riverside Emergency Room, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 308-7300.

Mrs Katlin P Shi is licensed to practice in Florida (license number PA - 9109389) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043651847.

Contact Information

	Mrs Katlin P Shi, PAC
	1 Shircliff Way, St. Vincent's Riverside Emergency Room, Jacksonville, FL 32204-4748
	(904) 308-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Katlin P Shi
Gender	Female
Speciality	Physician Assistant
Location	1 Shircliff Way, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043651847
Provider Enumeration Date: 07/10/2013
Last Update Date: 09/14/2016

Medicare PECOS Information:

PECOS PAC ID: 9931333770
Enrollment ID: I20140910002027

Medical Identifiers

Medical identifiers for Mrs Katlin P Shi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043651847	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA - 9109389 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katlin P Shi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Katlin P Shi, PAC 1 Shircliff Way, St. Vincent's Riverside Emergency Room, Jacksonville, FL 32204-4748 Ph: (904) 308-7300	Mrs Katlin P Shi, PAC 1 Shircliff Way, St. Vincent's Riverside Emergency Room, Jacksonville, FL 32204-4748 Ph: (904) 308-7300

Reviews and Comments

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Mrs Katlin P Shi, PAC - Medicare Physician Assistant in Jacksonville, FL